Today i start my shift off pretty well. 22 yr old male comes in with "intractable back pain". From the start i knew just another drug seeker. Do a full exam. Pt showing no signs of distress. Of course his junkie girlfriend gives me the full run down of what happend. I quess the patient can't think to make up lies anymore. The patient GF rambles on and dictates to me what dose and medication to give him. And is allergic to NSAIDs and other non narcs. She said that is the only medication he can have and 10mg is not enought. I just wanted to get up and walk out. I saw no medical need for narcs. So i sent them with no script. Then i get called from the nursing supervisior "why didn't you just give it to them" i can't stand nursing telling me to prescribe narcs, i said for what no evidence of medical distress. i quess they are the MD's now. What would be some soultions from your experience.